DAT_ANZSNM

1
Distance Assisted Training for Nuclear Medicine
Technologists
RAS 6029 / RAS2006003
The Next Phase SPECT/CT PET/CT
Heather Patterson Westmead Hospital, Sydney,
Australia Brian Hutton University College London,
UK
2
Proposed Work plan

• Approval of draft syllabus appoint technical
  writers/authors

• First draft of new materials ready Oct/Nov 2007
• - Advisory meeting for main technical writers
  Thailand November 2007

• Develop DAT website and web-based tools
• - registration, code access
• - online assignments, self-assessment, final
  examinations
• - interactive image manipulation
• - monitor progress
• - feedback, questions/answers
• - ongoing updates

• Train the Trainer course on utilization of
  web-based support system

• Assessment of student performance using
  web-based tools

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Proposed Syllabus
Units / subjects
Introduction to CT principles 4
Cross-sectional anatomy (revised) 1
SPECT/CT 3
Introduction to basic science of PET 3
Clinical PET/CT 4
15 Units delivered in 4 modules each module 30
- 40 hrs study over 2 months 160 hrs of study
4
Proposed Syllabus

• Introduction to CT principles
• Basic CT physics and operation parameters
• CT safety and dosimetry
• Clinical procedures and protocols use of
  contrast
• Specific issues in use of CT with SPECT and/or
  PET

• SPECT/CT
• Advanced SPECT physics (revision)
• Choices of SPECT/CT system and specific QC
• Clinical applications of SPECT/CT

• Cross-sectional anatomy (revised)
• use of web package

5
Proposed Syllabus

• Introduction to basic science of PET
• Background on cyclotron and available PET
  tracers
• Basic PET physics and operation parameters QC
  procedures
• Radiation safety for positron emitters

• Clinical PET/CT
• Understanding the basis for imaging with FDG
• - normal patterns of uptake for FDG,
• - application of FDG in Oncology
• Work-flow and protocols for PET/CT
• Artifacts and issues in PET/CT measurement of
  SUV
• Use of tracers other than FDG in oncology
• - application in cardiology and neurology

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Points for consideration

• Small number of technologists practicing PET/CT
  in different countries
• - different training backgrounds
• initially how many will have completed DAT
  basic advanced?
• - suitable for other staff eg registrars in
  training
• Need to define pre-requisites

• Ensure understanding of necessity for equipment
  and practical issues
• - all students need to complete practical
  exercises assessment

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Points for consideration

• CT component to include
• a) diagnostic CT including use of contrast
• b) CT for attenuation correction and
  localization

• Website
• still a necessity for paper based materials?
• provide a database with images who supports
  it?
• encourage student discussion interaction other
  students / tutors
• country internal monitoring improved
  communication?
• eg monitoring assignments, setting
  examinations, feedback

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Pre-requisites
Minimum requirements Functioning NM dept,
qualified NM physicianas per current
guidelines PET/CT or PET with access to SPECT/CT
Establish entry level for participants eg -
successfully completed DAT basic advanced
levels - practicing in department with SPECT/CT
PET/CT or SPECT only and PET/CT ? or
SPECT/CT and PET ?
Other options - senior NM technologist with
some PET experience - CT radiographer -
sufficient NM knowledge? - revise / complete
previous SPECT units plus other subjects?
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Web Platforms
ANENT Asian Network for Education in Nuclear
Technology IAEA affiliated website - KAERI
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Web Platforms
ANENT Asian Network for Education in Nuclear
Technology IAEA affiliated website - KAERI
Recent meeting deciding on special regional
requirements
Web-CT (Blackboard) Utilized by many Distance
Education institutions
Being replaced by
Moodle Modular Object-Orientated Dynamic
Learning Environment Course management
system Utilized by Open University, UK
a growing number of DE institutions
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moodle.org
Software package producing internet based courses
websites Designed to support a social
constructionist framework of education ie
creating a culture for shared knowledge.

• New developments and ideas shared with other
  moodle users

- Updates on revisions, new versions

• Support system to help users solve problems
  (moodle.com)

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moodle.org
Focus on Student learning Teacher
interaction Ease of monitoring

• Student learning
• Text on-line, assignments answered on-line
• Inter-active illustrative materials, case
  studies
• eg rotating MIP PET images (maximum
  intensity projection)
• Additional quizzes to reinforce learning self
  assessment
• Results, interaction and progress recorded
• - prompts for student to continue to next
  stage
• Active discussion groups that force student to
  communicate

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moodle.org
Focus on Student learning Teacher
interaction Ease of monitoring

• Teacher / coordinator interaction
• Discussions, questions / answers with local
  tutors
• Review assignment results progress
• - interactive or automatic reminders / emails

• Ease of monitoring
• Results, progress and student interaction
  displayed on one page
• - all student results and feedback displayed
• Regular reports to DAT web administration and
  IAEA

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• Introduction to CT principles
• Basic CT physics and operation parameters N.
  Keat
• CT safety and dosimetry N. Keat
• Clinical procedures and protocols use of
  contrast R. Endozo
• Specific issues in use of CT with SPECT and/or
  PET J. Dickson
• / B. Hutton

• SPECT/CT
• Advanced SPECT physics (revision) B. Hutton
• Choices of SPECT/CT system and specific QC B.
  Hutton
• Clinical applications of SPECT/CT J. Bomanji

17

• Introduction to basic science of PET
• Background on cyclotron and available PET
  tracers S.Eberl
• Basic PET physics and operation parameters QC
  procedures J.Dickson
• Radiation safety for positron emitters
  J.Towson

• Clinical PET/CT
• Understanding the basis for imaging with FDG
  P. Thomas
• - normal patterns of uptake for FDG,
• - application of FDG in Oncology
• Work-flow and protocols for PET/CT C.
  Constable
• Artifacts and issues in PET/CT measurement of
  SUV W L Wong
• Use of tracers other than FDG in oncology
  P.Thomas
• - application in cardiology and neurology